Mawonedwe: 0 Wolemba: Site Editor Nthawi Yosindikiza: 2025-05-23 Origin: Tsamba

Tibial Plateau ndi gawo lofunika lolemera la mawondo a mawondo. Kuthyolako kumachitika kawirikawiri chifukwa cha kuvulala kwamphamvu kwambiri (mwachitsanzo, ngozi za galimoto, kugwa) kapena kuvulala kwamphamvu (osteoporosis kwa okalamba), ndipo nthawi zambiri amaphatikizidwa ndi meniscus ndi kuvulala kwa ligament (mpaka 50 peresenti). Zolinga zazikulu za chithandizo ndi kubwezeretsa kusalala kwa malo, kukhazikika kwa miyendo, komanso kupewa nyamakazi yachiwiri yowopsa.

mphero yosavuta kapena yotalikirapo yong'ambika ya lateral mapiri
kugawanika lateral plateau pamodzi ndi compression fracture
kupanikizana kosavuta kwa lateral plateau
kuthyoka kwapakati (kuthyoka kwa mawondo / mawondo)
Kuphulika kwa bicondylar komwe kumaphatikizapo kugawanika kwapakati ndi kumbuyo
Kuphulika kwa mapiri awiri ndi kupatukana kwa tibial metaphysis kuchokera ku tibial stem
Kugwa kwapang'onopang'ono> 2mm kapena kusamuka kotsatira> 5mm
Kuthyoka kotseguka / kuphatikiza kwa osteofascial compartment syndrome
Kusakhazikika kwa bondo (kuzungulira kwamkati / kunja> 5 °) kapena kuvulala kwa ligamentous kumafuna kukonzedwa.
Odwala okalamba omwe amafunikira kusonkhanitsa mwachangu
Kuvulala kophatikizana kwa meniscus komwe kumafunikira kufufuza kwa arthroscopic

Opaleshoniyo amasankhidwa kuti ikhale yozungulira kapena yapakati pa bondo, malingana ndi malo ophwanyidwa. The lateral incision nthawi zambiri amagwiritsidwa ntchito pazigawo za lateral fractures, kuchoka ku lateral femoral condyle mpaka ku lateral tibial tuberosity. Khungu limadulidwa ndiyeno limalekanitsidwa wosanjikiza ndi wosanjikiza, kulabadira chitetezo cha wamba peroneal mitsempha, ndi kayendedwe ayenera kukhala wofatsa posonyeza fracture mapeto kupewa aggravating zofewa minofu kuvulala.
Kugwa kwa articular pamwamba kumakwezedwa ndi periosteal stripper, ndipo ndondomekoyi imatsimikiziridwa ndi fluoroscopy mobwerezabwereza ndi makina a C-arm. Kwa fractures comminuted, nthawi zina m'pofunika imzale allograft kapena yokumba fupa thandizo pansi articular pamwamba. Pamalo olowa ayenera kukhala lathyathyathya ndi kusiyana kwa kutalika kwa mbali wathanzi sayenera kupitirira 2 mm, amene mwachindunji chimatsimikizira kuchira olowa ntchito pambuyo opaleshoni.
Ziphuphu zovuta zomwe zimakhudzana ndi metaphysis zimafuna kukonza mbale zothandizira, zokhala ndi L-zoboola pakati Locking plates zomwe zimagwiritsidwa ntchito popanga mbale zam'mbali ndi mbale zooneka ngati T zapakati. Pazigawo za bicondylar fractures, maopaleshoni ena amasankha kukhazikika kwa mbale ziwiri, koma kusamala kuyenera kuchitidwa kuti mupewe kuvula kwambiri kwa periosteum, zomwe zingakhudze magazi.

Mapangidwe opangidwa kale a anthu aku Asia, Africa, ndi Latin America okhala ndi tibial morphology (ma chart oyerekeza a biomechanical atha kulumikizidwa).
Multi-axial Chomangira chokhoma dongosolo limagwirizana ndi kuchulukitsidwa kwa mafupa osiyanasiyana (mwachitsanzo, osteoporosis mwa akuluakulu a ku Africa, kuvulala kwamphamvu kwa achinyamata a ku Asia)
Kuchulukitsa kachitidwe kamodzi kokha ndikuchepetsa mtengo wokonzanso (yerekezerani ndi data wamba)
Kukhazikika kwakukulu komanso kuchepa kwafupipafupi kwa zida m'malo akutali.
Njira yosavuta yopangira opaleshoni (mwachitsanzo, njira ya MIPO yosokoneza pang'ono), kufupikitsa njira yophunzirira ya maopaleshoni.
Zida zothandizira zonyamulika za madera opanda zida
Proximal tibial lateral Locking plate ndi Precision Orthopedic Solution yopangidwa mwaluso ndi CZMEDITECH - yokhazikika pa kusinthika kwa thupi komanso motsogozedwa ndi masomphenya apadziko lonse lapansi - odzipereka kupatsa odwala padziko lonse lapansi zosweka zovuta njira yothandizira, yofikirika, komanso yotsika mtengo..
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